Health Condition 1: M480- Spinal stenosis
Conditions
Interventions
Intervention1: Retrolaminar block: 19 ml of 0.25 % bupivacaine and 1 ml of dexamethasone given bilaterally between transversospinalis muscles and laminae under ultrasound guidance at surgical levels o
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18 65 years of age 2. Either gender 3. ASA status I-II 4. Patients undergoing thoracolumbar spine instrumentation surgeries 5. Patients getting extubated at the end of the surgery 6. Patients with intact mentation and speech
Exclusion criteria
Exclusion criteria: 1. Surgery duration exceeding 3 hours 2. Patient having any coagulopathy 3. Patient having scar or infection at injection site 4. Patient having any psychiatric disorder, severe cardiac, pulmonary, hepatic or renal insufficiency 5. History of preoperative chronic opioid use, long term drinking or psychotropic drug use 6. Pregnancy and lactation 7. Patients with severe visual and auditory disorders 8. History of allergy or anaphylaxis to any local anesthetic 9. Spine instrumentation not more than 3 vertebral levels 10. Intraoperative alteration of surgery 11. Patients who will withdraw for any reason
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS score postoperatively upto 24 hoursTimepoint: upto 24 hours after extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| (a) first time to postoperative systemic rescue analgesic (b) perioperative hemodynamics upto 24 hours postoperatively (c) adverse effects in the two groups Timepoint: from administration of block upto 24 hours after extubation | — |
Countries
India
Contacts
Public ContactDr Soumya Chakrabarti
IPGMER Kolkata
Outcome results
None listed